Elderly people with diabetes, how much blood sugar is normal? Introduce 3 different control objectives of hierarchical management

The problem of high blood sugar diabetes is not necessarily related to age. The elderly can also maintain normal blood sugar, while young people may also develop diabetes if they don’t pay attention. There is no difference between man and youth.

Generally speaking, fasting blood sugar is not higher than 6.1mmol/L, not lower than 3.9mmol/L, and blood sugar is lower than 7.8mmol/L 2 hours after a meal, which is a normal and healthy blood sugar value. This value is not as good as that of young people and old people. Whether young or old, if there is no problem with abnormal blood sugar metabolism, the blood sugar value will generally remain within this range. If the fasting blood sugar is lower than 3.9, it is a problem of hypoglycemia. If the blood sugar exceeds the standard, It is a problem of high blood sugar or even diabetes. Whether it is low blood sugar or high blood sugar, it has certain adverse effects on health and should be actively taken seriously.

Let's focus on blood sugar control in elderly diabetic patients.

For elderly diabetic patients, it is impossible to say how much blood sugar is normal, but it should be discussed how much blood sugar is considered to be up to standard. Uncontrolled hyperglycemia in diabetic patients is the main risk of cardiovascular and cerebrovascular diseases, diabetic nephropathy, diabetic neuropathy, diabetic foot and other complications. Actively control high blood sugar, so for elderly diabetic patients, how much blood sugar control is appropriate?

Even for elderly diabetic patients, the blood sugar control goals of diabetes cannot be generalized. Only a comprehensive understanding of different individual conditions, different severity of complications, different self-management abilities, different life expectancy, and different high and low risks of hypoglycemia, Comprehensive evaluation of multiple factors can reasonably set blood sugar control goals for elderly patients with diabetes.

Compared with the diabetes control goals of young and middle-aged people, the elderly have more complicated chronic diseases due to their aging body, and their tolerance to drugs is relatively poor. When considering blood sugar control goals, it is necessary to consider There are more factors, but the overall principle is to set reasonable blood sugar control goals, actively regulate and control blood sugar to reach the target, and ensure the safety of blood sugar control on the premise of controlling blood sugar to obtain the greatest benefits for the body. Excessive medical treatment leads to the risk of hypoglycemia, the risk of adverse drug reactions, and the risk of violent blood sugar fluctuations. If you can choose a reasonable blood sugar control target value to maximize the ratio of health benefits to risks for the body, it is the most reasonable blood sugar control. Standard value.

This is still too abstract, let’s talk about the hierarchical management of blood sugar control goals for elderly patients with type 2 diabetes in combination with different specific situations——

In the first case, it is recommended to control the glycosylated hemoglobin below 7.0%. This goal is still a relatively strict blood sugar control goal. Blood sugar should also be controlled below 10. Such blood sugar control goals are mainly aimed at elderly diabetic patients with a course of diabetes less than 10 years, pancreatic β-cell function, low risk of hypoglycemia or effective avoidance of hypoglycemia, good self-management ability, and strict life conditioning. , Strict control of blood sugar levels can better control the development of diabetes and reduce the chance of complications.

In the second case, it is recommended that the glycosylated hemoglobin be controlled between 7.0 and 8.0%. This value corresponds to a fasting blood sugar level of less than 7.5, and a 2-hour postprandial blood sugar level of less than 11.1. Such blood sugar control goals are generally aimed at elderly diabetic patients who already have moderate complications, or are accompanied by other chronic diseases, have poor self-management ability, high risk of hypoglycemia, and need to use insulin to enhance blood sugar control. In the case of a moderately relaxed blood sugar control standard, reducing the risk of hypoglycemia and the risk of violent blood sugar fluctuations, the health benefits obtained are relatively greater.

In the third case, it is recommended that the glycosylated hemoglobin level be controlled below 8.5%. This value corresponds to a fasting blood sugar level below 8.5 and a postprandial blood sugar level below 13.9. This blood sugar control goal is mainly aimed at elderly diabetic patients who have difficulty in blood sugar control or cannot strictly control blood sugar for some reasons, such as those with a history of severe hypoglycemia, serious complications, and life expectancy of less than 5 years. Combined with repeated infections, acute diseases (such as cardiovascular and cerebrovascular diseases) during hospitalization, complete loss of self-management ability, and unable to receive good care, in these cases, combined with the actual situation, it is better to moderately further prevent and control blood sugar control goals. It’s a good choice, but you still have to pay attention to avoid severe increases in blood sugar, which can lead to the risk of acute complications and severe infections.

All in all, the question of how much blood sugar is normal for the elderly, the requirements of "normal" or "standard" for the elderly in different situations will also be different, for elderly diabetic patients, there must be a concept of hierarchical management, combined with their own In the actual situation, it is not enough to set a reasonable goal for blood sugar control. It is not enough to have a reasonable goal. We must also actively control our blood sugar to our target range through life conditioning, rational medication, and a healthy lifestyle. Only in this way can we It can better control the risks of various complications caused by diabetes and protect our health.